Coding Cataract Extractions

The patient comes in for cataract extraction. In the gross finding the physician mentions nuclear sclerosis and dilated pupul. Ephinephrine intracorneal is used for dilation. The physician did phacoemulsification and aspiration of cataract and insertion of intraocular lens prosthesis. What are the ICD and CPT codes for these procedures?



ICD DX CODES

Nuclear Sclerosis (senile cataract)                                366.16

Mydriasis Not Due to Mydriatics(dilated pupil)                379.43



ICD PROCEDURE CODES

Phacoemulsification And Aspiration of Cataract            13.41

Insertion Intraocular Lens Prosth W Cataract Ext          13.71



CPT CODES

Cataract Extraction W/IOL, Manual simple                   66984



HCPCS CODES

Lens, Intraocular                                                       C1780



Note: If there is no mention of either Intracapsular or extracapsular extraction then the default is to take it as  extracapsular. CPT has two codes for cataract extraction as follows:

62282 Cataract extraction complex

66984 Cataract extraction simple

If the cataract extraction involves suture support then it can be considered as complex.